Individual provider Active NPI

Gabriel Rizzo, DC, CFMP, ABAAHP

  • Chiropractor
  • Crestview, FL
National Provider Identifier
1568944064
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12562 Issued in FL
Practice address
1133 Industrial Dr
Crestview, FL 32539-8950
Phone
(870) 623-4958
Fax
(850) 331-6425
NPI assigned
Aug 30, 2018
Last updated
May 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12562 FL Primary
Internist Chiropractor 111NI0900X 12562 FL
Nutrition Chiropractor 111NN1001X 12562 FL
Sports Physician Chiropractor 111NS0005X 12562 FL

Addresses

Primary practice location

1133 Industrial Dr
Crestview, FL 32539-8950

Mailing address

1133 Industrial Dr
Crestview, FL 32539-8950
Phone (870) 623-4958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190103002057 FL Practitioner - Chiropractic 9133465636 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12562FLMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Spine Crestview LLC Chiropractor CurrentSince Feb 1, 2021 Accepting new patients

Locations

610 Hospital Dr
Crestview, FL 32539
Phone (850) 460-2362

981 Highway 98 E
Ste 9
Destin, FL 32541
Phone (850) 460-2362

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1568944064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 INDUSTRIAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398950",
            "telephone_number": "870-623-4958",
            "fax_number": "850-331-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 INDUSTRIAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398950",
            "telephone_number": "870-623-4958",
            "fax_number": "850-331-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DC, CFMP, ABAAHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12562",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "FL",
            "license": "12562",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "12562",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "12562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.